ARLENE E COUSTAN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000010

License Status

NOT RENEWED

Business

First Name

ARLENE E

Last Name

COUSTAN

Business Name

ARLENE E COUSTAN

Original Issue Date

08/01/1989

Effective Date

11/17/2009

Expiration Date

11/30/2011

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/12/2012